| Dr Latasha Burgess, MD | |
|
800 E Cheves St Ste 400, Florence, SC 29506-2649 | |
| (843) 777-7341 | |
| (843) 777-7345 |
| Full Name | Dr Latasha Burgess |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 800 E Cheves St Ste 400, Florence, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639240765 | NPI | - | NPPES |
| 000915846D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 92875 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 049877 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Physician Associates Ii | 8224031307 | 452 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Latasha Burgess, MD 800 E Cheves St Ste 400, Florence, SC 29506-2649 Ph: (843) 777-7341 | Dr Latasha Burgess, MD 800 E Cheves St Ste 400, Florence, SC 29506-2649 Ph: (843) 777-7341 |
Dr. James Johnson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-5738 | |
Dr. Caitlin Basnight, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-5738 | |
John R. Mattheis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2800 Fax: 843-777-2810 | |
William H. Hester, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2800 Fax: 843-777-2810 | |
Tabitha Elizabeth Davis Stellato, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 N Ravenel St, Florence, SC 29506 Phone: 843-777-2800 | |
Dr. Vikas Anand Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 | |
Gazelle Moharari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 770-851-1735 |